NPI | 1114333002 |
---|---|
Former Name | BARBARA JEAN WALTER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: KS 53-76357) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: KS 53-76357) |
363LF0000X Nurse Practitioner, Family (Licence: KS 76357) | |
Enumeration Date | 2014-07-11 |
Last Update Date | 2020-03-20 |